With the changing lifestyle and environmental conditions, the threat of critical illness has increased multiple times in the recent days. It goes without saying that adequate insurance coverage is essential to protect oneself from various unexpected medical threats. Bharti AXA Smart Critical Illness Insurance Plan is a critical illness cover that can act as a supplemental cover in addition to a base health insurance plan. Unlike most critical illness policies, this coverage is available as either fixed-benefit plan or indemnity-based plan based on the requirement of the policyholder.
The following eligibility criteria applies to Bharti AXA Smart Critical Illness Insurance Plan:
Some of the notable features of Bharti AXA Smart Critical Illness Insurance Plan can be given as follows:
Bharti AXA Smart Critical Illness Insurance Plan provides coverage against the following 20 critical illnesses:
The range of benefits available under this critical illness policy can be given as follows:
|Benefits||Extent of Coverage|
|First diagnosis of a named critical illness||Indemnity benefit up to the sum insured limit against hospitalisation expenses [or] Lump sum payment of the full sum insured amount upon completion of the survival period of 30 days|
|Pre-hospitalisation medical expenses||Up to the sum insured limit|
|Post hospitalisation medical expenses||Up to the sum insured limit|
|Dread disease recuperation benefit||Rs.500 per day subject to a maximum of 45 days per policy year|
|Hospital cash allowance (maximum of 30 days)||Rs.750 per day for sum insured Rs.2 lakh Rs.1,000 per day for sum insured Rs.3 lakh and Rs.5 lakh (available after a deductible of 3 days)|
|Ambulance charges||Actual expenses subject to a maximum of Rs.2,500|
|Home nursing cover (maximum of 10 days after a 3-day deductible)||Rs.350 per day for sum insured Rs.2 lakh Rs.500 per day for sum insured Rs.3 lakh and Rs.5 lakh|
|Inpatient physiotherapy||Up to 2% of the sum insured amount|
|Accompanying person expenses (maximum of 10 days after a 3-day deductible)||Rs.250 per day|
|Children education benefit||Rs.5,000|
|Carriage of mortal remains||Rs.1,000 for sum insured Rs.2 lakh Rs.2,000 for sum insured Rs.3 lakh and Rs.5 lakh|
|Renewal discount||5% of the sum insured per claim-free year subject to a maximum of 25% of the sum insured amount|
The following list of exclusions will not be covered by this policy:
The claim settlement process is managed with the help of third-party administrators (TPAs). Cashless treatment facility is offered through the 4,300+ network hospitals located in different parts of the country. Following the diagnosis of any of the named critical illness, the TPA must be notified immediately. The TPA might require all the bills and documents necessary to support the claim.
Along with the claim form, the insured must submit bills, medical reports, diagnostic reports, prescriptions, etc. to the TPA. Once the documents are submitted, the TPA will verify the validity of the request and approve/reject the claim. The company promises claim settlement within a maximum of 21 days from the date of receipt of all required documents.
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